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Case Report
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| Anomalies origin of the right coronary artery from the left coronary sinus and coursing between the pulmonary artery and aorta associated with mitral stenosis | ||||||
| Uliks Ekmekçiu1, Mimoza Lezha2, Gjin Ndrepepa3 | ||||||
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1Internist, Department of Cardiology, University Hospital Center "Mother Teresa" Tirana, Albania.
2Cardiologist, Department of Cardiology, University Hospital Center "Mother Teresa" Tirana, Albania. 3Cardiologist, Researcher, Deutches Herzzentrum, Technische Universität, Munich, Germany. | ||||||
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| Ekmekçiu U, Lezha M, Ndrepepa G. Anomalies origin of the right coronary artery from the left coronary sinus and coursing between the pulmonary artery and aorta associated with mitral stenosis. Int J Case Rep Images 2015;6(10):614–617. |
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Abstract
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Introduction:
Coronary arteries anomalies are congenital. Usually, they are asymptomatic. They are found during the coronary angiography or computed tomography angiography. The most common coronary anomaly is separated origin of left anterior descending coronary artery and left circumflex artery coronary artery. Usually, it is a benign anomaly.
Case Report: A 54-year-old male was admitted at the service of cardiology. Twenty-five years ago he was diagnosed with mitral stenosis and five years ago as having a thrombotic cerebrovascular accident. Electrocardiogram showed atrial fibrillation Trans-thoracic echocardiography showed calcified mitral stenosis, with an anatomical area of 1.1 cm2. The patient was treated with oral anticoagulants (acenocumarol), beta-blockers (atenolol), and diuretics (hydrochlorothiazide plus spironolactone). The patient underwent coronary angiography which showed a 75% stenosis of the right coronary artery. The origin and course of right coronary artery was abnormal and thus a CT angiography was performed. The CT angiography confirmed that the origin of the right coronary artery was from the left coronary sinus and that the artery coursed between the aorta and the pulmonary artery. Under these circumstances, the patient was transferred to cardiac surgery where the mitral valve replacement and coronary artery bypass graft surgery were performed. The in-hospital course was uneventful. The patient was free shortness of breath and chest pain (angina). One month later CT angiography was repeated. The patient remained symptom-free and in good health status. Conclusion: The case highlights this anomaly and its potential association with mitral stenosis. | |
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Keywords:
Coronary artery anomaly, Mitral stenosis, Computed tomography angiography
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Author Contributions
Uliks Ekmekçiu – Substantial contributions to concept and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mimoza Lezha – Substantial contributions to concept and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Gjin Ndrepepa – Substantial contributions to concept and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Uliks Ekmekçiu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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